Laparoscopic splenectomy: case series of 24 patients
| Autor: | Vikal Chandra Shakya, Bishesh Paudyal |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: | |
| Zdroj: | Journal of Society of Surgeons of Nepal, Vol 18, Iss 3 (2016) |
| Druh dokumentu: | article |
| ISSN: | 1815-3984 2392-4772 |
| DOI: | 10.3126/jssn.v18i3.15311 |
| Popis: | Introduction and Objective: Splenectomy has mostly been performed by open surgery. Laparoscopy seems to be a meaningful alternative to open technique. Materials and Methods: This study was done in patients presenting to hematology and surgery department of Civil Service Hospital who underwent laparoscopic splenectomy from January 2013 to November 2015 Results: There were 24 patients (16 females, 8 males). The diagnoses were idiopathic thrombocytopenic purpura in 19, hereditary spherocytosis in 2, @hemolytic anemia in 2, b-hemolytic anemia in 1. The mean operative time was 130+49 minutes. The mean postoperative stay was 5+2.11 days. Laparoscopic splenectomy could be completed in 21 patients. Rest 3 needed conversion to open (causes being excessive bleeding form splenic vein, splenic tear, and excessively low platelet counts). Three patients needed additional pfanneinsteil/lumbar incision to retrieve the spleen. Conclusion: Laparoscopic splenectomy could be successfully contemplated in patients with hematological diseases, more so if spleen is of normal or mildly enlarged; and could be an advantageous alternative to open splenectomy. |
| Databáze: | Directory of Open Access Journals |
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